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COAG Project Aboriginal Torres Strait Islander Referral Access Project in Far North Queensland

Acknowledge. The Aboriginal

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COAG Project Aboriginal Torres Strait Islander Referral Access Project in Far North Queensland

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    1. COAG Project Aboriginal & Torres Strait Islander Referral & Access Project in Far North Queensland

    2. Acknowledge The Aboriginal & Torres Strait Islander People who have provided support throughout the project. DoHA for COAG Project funding allowing the opportunity to facilitate equity of access to timely, consistent & culturally appropriate ACAT assessments.

    3. The Challenge Cairns & Hinterland ACAT covers 3 HSD/s 4th Highest number of referrals & completed assessments for the state 4th Highest number of Inpatient referrals for the state

    4. Cape York & NPA/Torres Commonwealth Programs of Service Delivery 20 HLOC Residential Care 40 LLOC Residential Care 119 Community Aged Care Packages = 26% of Far North’s CACP/s

    5. The ‘Old’ Business Model Fly in / fly out model ~ Expensive for air travel ~ Not included in budget provision ~ Irregular visits ~ Minimal health worker involvement into assessment process

    6. Outcome Limited understanding of ACAT role Low uptake of Commonwealth Programs ~ 40% of CACP/s utilized ~ 78% of Residential Care places, including respite utilized No Commonwealth Programs on some Communities & Islands

    7. The New Model Partnership Model – ‘Buddy System’ ~ Community/Health Worker Business ~ ACAT Business ~ Shared Business Culturally Appropriate Assessment Tool – Aboriginal & Torres Strait Islander Assessment Tool (A&TSIAT)

    8. Outcome Clarity of referral process to ACAT Enhanced assessment process ~ culturally appropriate ~ timely ~ better transfer or relevant information Greater uptake of Commonwealth Programs

    9. For the old people 75 % of CACP’s are being utilized 100% of Residential Care is being utilized Approval for 30 more CACP/s for Cape York Lockhart River now receiving 10 CACP/s

    10. OUTCOMES ACHIEVED BY THE CAIRNS AND HINTERLAND ACAT COAG PROJECT 4 Through the: What Who When and Where

    11. - TWO PROUD PELICANS - “ Sharing the Business between Cairns; Cape York; NPA and the Torres Strait”

    12. The A&TSIAT (Aboriginal and Torres Strait Islander Assessment Tool for old people)

    13. What is it? A tool for local health workers to use Or the most appropriate aged care worker who knows the old person well Collaborating with other health professionals Face to face interview/assessment with the old person And/or drawing on all relevant sources of information Method of informing ACAT’s assessment The A&TSIAT is intended as a tool for local health workers to use, in collaboration with other health professionals eg. RN’s, local MO’S, RFDS, local service providers (HACC) Information is collected using the tool, through a combination of face to face interview/assessment with the old person and by drawing on all appropriate sources of information (discussions with relatives and locals involved in caring for them, health centre staff and health records etc) The A&TSIAT is intended as a tool for local health workers to use, in collaboration with other health professionals eg. RN’s, local MO’S, RFDS, local service providers (HACC) Information is collected using the tool, through a combination of face to face interview/assessment with the old person and by drawing on all appropriate sources of information (discussions with relatives and locals involved in caring for them, health centre staff and health records etc)

    14. Benefits Health worker - can work on the A&TSIAT in stages at their own pace ACAT – receive all (or almost all) information needed for the assessment in one go Screen for areas which need more detailed focus or discussion Assessment occurs within its cultural context with local health staff in the driver’s seat Judith has spoken about the key benefits of the new Model of Care and I’m going to talk about the benefits of the ATSIAT assessment tool. Screening for areas to focus on benefits everyone – ACAT/client/the local health care team/carers/service providers eg. cognition, nutrition, mobility (falls), equipment, medication management.......Judith has spoken about the key benefits of the new Model of Care and I’m going to talk about the benefits of the ATSIAT assessment tool. Screening for areas to focus on benefits everyone – ACAT/client/the local health care team/carers/service providers eg. cognition, nutrition, mobility (falls), equipment, medication management.......

    15. Referral Process Green referral form Signed ACCR application page Completed A&TSIAT Triaged to ACAT buddy Buddy completes assessment Case presented at case conference for approvals

    16. Implementation Workshop for HACC/CACP providers Workshop for Cape/NPA/Torres DON’s Workshops in communities and in Cairns ACAT guidelines and guiding principles, commonwealth services The Model of Care Training in using the A&TSIAT

    30. Once completed, please send this assessment tool to ACAT, making sure all 3 forms are enclosed: Green referral form Signed ACCR application page Completed A&TSIAT

    31. judith_groube@health.qld.gov.au Cairns and Hinterland ACAT 07)40506446

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